Organization
BOLD CITY INTEGRATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN BRYANT NP (APRN)
(904) 400-0120
Entity
Organization
Contact information
Practice address
8110 BLANDING BLVD STE 6, JACKSONVILLE, FL 32244-5823
(904) 274-0532
Mailing address
710 OTIS RD, JACKSONVILLE, FL 32220-2942
(904) 400-0120
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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